REGISTER NOW FOR SUMMER CAMP 2017!
CAMP OPEN FOR NINE WEEKS FROM JUNE 12 – AUGUST 11.


3 WEEK SESSIONS, OR WEEKLY SCHEDULES ARE AVAILABLE!

Register Now!

Ready to sign up? Great! Please fill out the form below.

Please note that only brothers and sisters can register together and receive the siblings discount. Other relatives and friends must register on a separate form.

Camper #1
Male Female
Home Address
Parent Details
Emergency Contact (Other than parent)
PICKUP AUTHORIZATION: Other than parents & emergency contact, these people are able to pick up my child.
Session: Please check which sessions &/or weeks the camper(s) will attend.

Price per session is $540, or $180 per week for partial session.

June 12 - June 30

 

 

July 3 – July 21

 

 

July 24 – August 11

 

 

 

NOTE: If registering multiple campers with differing schedules, please contact us via phone or e-mail to make special arrangements. Thank you.

Extended Hours

Please check here if your child will be attending camp during extended hours. (No additional charge.)

Lunch Program

$82.50 per session (Or $27.50 per week for partial session.)

 

M & F - Pizza, Tu & Th - Chicken Nuggets, W - Hamburgers. Served with chips and a drink.

 

If your child will only be buying lunch on certain days, please send $5.50 to their counselor

One Free T-Shirt With Registration!

All campers MUST wear a camp t-shirt daily. Extra T-shirts can be ordered for $10.50 each.

 

Please indicate your child’s size (Child 6-8, Child 10-12, Adult S, M, L, XL) for extras.

 

PLEASE FILL IN THIS SECTION ONLY IF YOU ARE ORDERING EXTRA T-SHIRTS. We will select an appropriate size for the one free t-shirt.

Medical Details

 

IF REGISTERING BEFORE JUNE 1, 2017 - $55 registration fee to register each camper. Families of 2 or more are $110. IF REGISTERING ON OR AFTER JUNE 1, 2017 - $65 registration fee to register each camper. Families of 2 or more are $130. All registration fees, camp tuition, t-shirt and lunch fees are non-changeable and non-refundable. There are NO refunds or credits given for days or weeks absent.

  • Camp fees for Session I are due May 1, Session II are due June 1, & Session III are due July 1 to reserve a spot for your child. If any of these payment dates have already passed when you are registering, payment for those sessions will be due upon registration. Camp fees are based on weekly attendance.
  • A late pick-up charge of $1.00 per minute will be assessed for children picked up after 6:00 p.m. Repeated late pick-up may result in camper dismissal from program.
  • Camp Chameleon has permission to use photographs of your child for camp advertising purposes.
  • You agree that your child is physically able to take part in the full array of camp program activities without restrictions or any undisclosed limitations or abilities.
  • You authorize Camp Chameleon to obtain medical attention for your child in the event of an emergency.
  • You assume all risk associated with your child participating in camp activities and agree to pay for any and all medical expenses for your child in the event of an injury incurred while attending Camp Chameleon.
  • You assume responsibility for the payment of any damage to physical property or to others caused by your child.
  • You release Camp Chameleon and its representatives of all liabilities arising from this program.
  • You agree and understand that campers will be dismissed with NO refund for repeated disobedience of camp rules as detailed on our camper code of conduct form. Repeated disobedience includes not following directions/listening to counselors, aggressive behavior with others verbally &/or physically, improper use of social media/texting/cell phone, threats &/or harm to themselves or others, emotional distress, inappropriate behavior while on bus/field trips, etc.
  • You understand that we encourage campers to leave valuable items at home such as I Pods, phones & electronic games. Camp Chameleon does not assume responsibility if items are lost, stolen, or broken.
Other Details

 

By signing your name in the below field, you verify and confirm that: (i) all information entered into this form is true and correct; (ii) your child has no limitations which prevents him or her from participating in camp activities; (iii) you assume all risk associated with your child’s participation in camp activities; and (iv) you will pay for any and all medical expenses in the event your child is injured while attending Camp Chameleon.

Credit Card Details

 

Early bird: Pay in full by April 15, 2017 and get an additional 10% discount off of the total invoice.

 

 

Yes No

 

Click on YES if you would like to only be charged the registration fee now, and then your remaining balance according to the following dates: May 1 (Session I), June 1 (Session 2), July 1 (Session 3). Payments will be automatically charged to the credit card you registered with according to the May 1, June 1, July 1 due dates. If any of these payment dates have already passed when you are registering, payment for those sessions will be due upon registration and automatically charged to the credit card you registered with.

 




For additional information, please contact customer support at (954) 815-9054, or e-mail us at .